Leadership EAQ #1
Which color tag is used for a client who is expected to die after a disaster with mass casualties?
- black tag
Which would the nurse state is an example of a natural disaster?
- floods
What does the A of the mnemonic "ABCDE" of primary nursing survey stand for?
Airway (airway, breathing, circulation, disability, exposure)
Which process involves transferring responsibility to multiple players, usually with varying degrees of education and experience, while retaining the ultimate accountability for providing the client care?
Delegation
What should the associate nurse use to provide client care within the primary nursing delivery model?
Plan of care
Which professionals in a health care organization can be delegators?
Registered nurses
The nurse finds a green triage tag on a client. What does the nurse infer from this finding
The client belongs to class 3 (walking wounded is class 3)(red tag is clients who require immediate assistance this is class 1) (clients with a yellow tag are class 2, while black tags are class 4 )
What is the role of the nurse executive as a leader?
empowerment
A visitor in the waiting room of the ER has a syncopal episode and collapses to the floor. The event is witnessed by a nurse on her way into the hospital for her shift, who provided initial care. The nurse assessed the client, maintained safety of the environment and gave report to an ER nurse, who will provide ongoing care. What should the nurse who witnessed the event do next?
- Document the incident
Which model of nursing is focused on the task-oriented approach to client care?
- Functional model ( licensed and unlicensed staff preform tasks for a large group of clients)
Which actions make the nurse a transformational leader?
- Introducing a vision for the future nurses
While organizing a community health care program for polio vaccines, the registered nurse delegates the task of administering the vaccines to the members of the health care team. Who among the health care team is most suitable to carry out the task?
- LPN
What is an important consideration for delegation of care by the nurse when the delegation has limited knowledge and ability to perform the task?
- guidance
Which term refers to the nurses ability to plan, direct, control and evaluate others in different situations?
- management - Delegation: transfer of authority to preform some type of task or work - Leadership: the use of individual traits and abilities in relationship to others and the ability to interpret the context where a situation is emerging - Followerships is that each member of a team contributes optimally but acquiesces to a leader or manager to ensure the best clinical decision-making
A client receives a prescription for morphine via patient controlled analgesia (PCA). Before beginning the administration of this medication what should the nurse assess first?
- respirations
A client with a severe allergy has been administered a high dose of antihistamine. The nurse finds that the client is drowsy and dizzy. Which type of need would the nurse prioritize in the client according to Maslow's hierarchy of needs?
- safety needs
Which model of ethics considers broad social issues and involves accountability to the overall institution?
- social justice model
The nurse is reviewing the amount of drainage on the dressing of a client after discharge from the PACU. On which area should the nurse focus for this assessment?
- surgical incision site
Which member of the healthcare team is accountable for initial assessment and ongoing evaluation of client care?
- the RN
The nurse leader is teaching nursing staff about conflicts in an organization. Which statement is inaccurate regarding conflict in an organization?
Conflict can be constructive if the conflict is excessive (if there is too much conflict it can be destructive)
Which disaster can be categorized as an internal disaster?
Explosion in a hospital
Which method of delivering client care works well in disaster situations?
Functional method of nursing
A nurse leader has prepared an objective for strategic planning. Which point indicates that the nurse possesses the ability to write objectives clearly and concisely?
Inclusion of the timeline and deadline
Which threats, included in the term "NBC", lead to the implementation of improved EMS and hospital safety programs?
Nuclear, biologic and chemical
The RN is caring for a client who underwent a hysterectomy. Which tasks can be delegated to the UAP to provide quality care to the client?
Record vital signs, assisting the client with bathing
A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would indicate the task is applicable for the RN?
Teach the client how to use a meter dose inhaler
Which is essential for ensuring disaster readiness in a community?
Trauma system
The nursing manager wants to transfer a nurse to the ICU and describes the roles and responsibilities of the position in detail to the nurse. After disclosing all details, the nurse manager inquires about the nurses decision. Which type of principle is the nurse following?
Veracity
Which are examples of internal disasters that must be accounted for when formulating a disaster response plans?
fire, power outage
The nurse manager is reviewing a hospital disaster plan with other members of the committee. Which is the minimum number of disaster drills the committee must plan and implement each year?
two